Clinic
Pacific Central Coast Health Centers
Pacific Central Coast Health Centers was paid $19K by Medicaid between Jul 2020 and Aug 2023, across 5 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 41% of everything it billed.
33Billing provider infoPACIFIC CENTRAL COAST HEALTH CENTERS
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1497392377assigned 12/10/2019
33bProvider typeCommunity Health Clinic/Center
28Total paid$19K
24GClaims293
24DCodes billed5
24AFirst – last monthJul 2020 – Aug 2023
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#245 of 288
Median peer was paid$2.15M
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 135 | $5K | |
| 2021 | 105 | $10K | |
| 2022 | 27 | $2K | |
| 2023 | 26 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 41% | 67 | 66 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 159 | 156 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 40 | 38 | $2K |
| 43259 | 8.6% | 13 | 13 | $2K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 14 | 14 | $54.39 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRICHARDSON, MATTHEW (CHIEF FINANCIAL OFFICER)
Parent organizationPACIFIC CENTRAL COAST HEALTH CENTERS
| Provider | Location | Paid |
|---|---|---|
| Pacific Central Coast Health Centers | Santa Maria, CA | $2.22M |
| Rogue Family Eye Care | Grants Pass, OR | $424K |
| Dignity Health | Santa Maria, CA | $348K |
| Pacific Central Coast Health Centers | Santa Maria, CA | $230K |
| Pacific Central Coast Health Centers | Santa Maria, CA | $177K |
| Pacific Central Coast Health Centers | Ventura, CA | $80K |
| Pacific Central Coast Health Centers | Santa Barbara, CA | $2K |
| Pacific Central Coast Health Centers | San Luis Obispo, CA | $899.48 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.